Historical Medical Policies and Clinical UM Guidelines
Historical Medical Policies
Medical policies contained within this page are historical and not the most current versions. Current medical policy content may be accessed from the Medical Policies and Clinical Utilization Management (UM) Guidelines page.
Implementation dates of the most current versions vary per state notification requirements.
- ANC.00007 Cosmetic and Reconstructive Services: Skin Related
- LAB.00019 Proprietary Algorithms for Liver Fibrosis
- MED.00002 Selected Sleep Testing Services
- MED.00129 Gene Therapy for Spinal Muscular Atrophy
- SURG.00129 Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring
Historical Clinical UM Guidelines
Clinical UM guidelines contained within this page are historical and not the most current versions. Current clinical UM guideline content may be accessed from the Medical Policies and Clinical Utilization Management (UM) Guidelines page.
Implementation dates of the most current versions vary per state notification requirements.
Provider Tools & Resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Eligibility Overview
- Provider Manual and Guides
- Provider Search Tool
- Forms
- Training Academy
- Electronic Data Interchange (EDI)
- Quality of Care Incident Form